Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kerry Mogavero

Individual provider Physical Therapy Assistant · NPI 1700437860

Kerry Mogavero is a Physical Therapy Assistant in Roosevelt, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

380 Washington Ave
Roosevelt, NY 11575-1845
Phone: (516) 378-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0054791 (NY)

Record details

NPI number1700437860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2019
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address2 Lotus Ln, Westbury, NY 11590-6321

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